After ureteroscopy/nephroscopy lithotripsy, ureteroscopy, pelvic ureteral junction molding and other surgeries, patients are left with a stent tube, i.e., a D-J tube, which is designed to support the ureter and drain the urine, and it is usually removed 1~3 months after the surgery. Many patients experience some uncomfortable symptoms during the period of the tube, and some patients are tortured by these symptoms to the extent that they can’t move an inch, they are on edge, and even the whole family can’t have peace, but in fact, the vast majority of them are temporary and tolerable, so it seems that the unknown creates a great deal of fear for people! So I felt the need to communicate with my patients. I summarize these symptoms into “three big monsters”, easy to remember. The first monster, hematuria. The most common. Reason: Although the mucosa of the renal pelvis, ureter and bladder is a migratory epithelium, thicker, but after all, it is the place where urine is taken, in the face of thick and hard tube, friction a few times or defeat (in fact, the stent tube is a biosynthetic material, the texture of the soft and tough, but also very smooth, compatible with the human body is quite good). The delicate mucosa is rich in capillaries, bleeding is inevitable. Characteristics: Often the patient after a long time walking, bending activities or going up and down the stairs, there will be hematuria, if you drink less water hematuria will be more obvious. Most of the hematuria is the second half of the hematuria or the whole process of hematuria, and sometimes you can even see small red and black blood clots, small pieces of blood. Countermeasures: Don’t be afraid! With tube patients normal life and living is no problem, go to a supermarket, skating can be, even if a small amount of bleeding is not a problem, as long as more water, lie down and rest for half an hour, a few times after urination will be clear. But if the bleeding is so much that lying down to rest are not relieved, or blood clots blocked in the urethra urine, then you need to see the emergency room in a timely manner, so that the doctor to help you with some medication and rinsing to stop bleeding. The second major monster, back pain and lumbago. Reason: There is a curved hook on top of the stent tube, which is made when the material is synthesized, and its purpose is to be stuck inside the kidney to prevent the stent tube from slipping. When the patient moves or even breathes, the friction and irritation between the stent tube and the mucous membrane of the renal pelvis and the upper ureter cause the patient’s back pain and discomfort. Characteristics: As with all pain, the degree of this low back pain varies from person to person, with some being immobile and others inactive. Some are paroxysmal, others are persistent. Countermeasures: The solution is very simple, or drink more water, lie down and rest, if necessary, only once oral painkillers can be. The third major demon, frequent urination + small stomach drop pain. Causes and characteristics: The stent tube also has a curled hook underneath, the purpose is to be stuck in the bladder to prevent the stent tube from moving up (shrinking up can be bad to take out). Because there is not as much variety in the length of stent tubes, sometimes tubes that are too long can still coil in the bladder. Some patients have a catheter in place for the time being after surgery. These hooks ah, extra tubes ah will irritate the bladder triangle this nervous area, the patient will frequently feel the urge to urinate, urgency to urinate, go to the toilet but can not urinate nothing (or just urinate some blood), the abdomen will also be sore and swollen, falling discomfort, the degree of mild or severe. Countermeasures: Still this, drink more water, lie down and rest for a while. Frequent offenses can also use half an anti-inflammatory pain plug in the anus, the effect is very good. These three big monsters often make waves, God out of nowhere. Sometimes a single out, sometimes together. For example, there is a postoperative patient with a tube to go a long way to go to the supermarket, come back and waist pain and blood in the urine, see blood in the urine and also soft, and then followed by a piece of pain in the stomach, a moment to go to the toilet, sometimes out of the urine is full of blood, not to mention how painful, the whole family was scared enough to call on the 120 to send to the emergency room I here. After careful examination, the first is to stabilize the patient and the family mood, and then a large bag of liquid infusion, stay in bed for 2 hours, nothing happened. This is a relief. If you drink a lot of water at that time, quickly lie down to recuperate for a while, to relax the nerves, the symptoms will soon be relieved. Of course, the strongest trick to deal with these three monsters is to remove the D-J tubes! With the stent tubes removed, all of these symptoms will dissipate within a few days. Still, some of the symptoms that occur with tubes should not be ignored. High fever, renal colic, and severe and persistent hematuria are all things that need to be reported to the hospital emergency room in a timely manner, and depending on the situation, the doctor will give the patient the appropriate treatment. There is also a relatively special case of pregnant women with tubes. Some pregnant women, because of small ureteral stones, or the uterus pressing on the ureter causing hydronephrosis, etc., first inserted a ureteral stent tube in the body, until after giving birth to a child to do the month and then pull out. During this period, you need to be more careful to avoid pain or infection that may affect the health of the mother and baby. Remember? Drink plenty of water + lie down and rest – these are the two principles of peaceful coexistence between you and your stent tube. With your doctor and you working together, the three monsters are no match for you!